Organization
CRITTENDEN EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNY C. HALLUM (OFFICE MANGAER)
(870) 733-1166
Entity
Organization
Contact information
Practice address
205 S 2ND ST, WEST MEMPHIS, AR 72301-4307
(870) 733-1166
(870) 733-1168
Mailing address
PO BOX 50, MARION, AR 72364-0050
(870) 733-1166
(870) 733-1168
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
696
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157360715
—
AR
Enumeration date
07/05/2006
Last updated
07/02/2008
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